2025-08-15T22:32:43+00:00 2024-09-30 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2023-10-01 640926753 Marion Regional Medical Center Inc MARI 6623773978 830 SOUTH GLOSTER STREET TUPELO MS 38801 SHARON NOBLES CFO 6623373978 2025-08-16 true true Amber Sherrill P00748683 5013721040 2025-08-16 2023 2025-03-06 01:10:19Z SHARON NOBLES 830 SOUTH GLOSTER STREET TUPELO MS 38801 18745610 false X WWW.NMHS.NET/HAMILTON/ X 2000 DE MARION REGIONAL MEDICAL CENTER, INC. OPERATES A 49 BED ACUTE CARE HOSPITAL AND A 79 BED NURSING HOME LOCATED IN HAMILTON, ALABAMA. 5 5 291 7 33882 4208 238052 40000 18830588 18597040 57445 43093 -28885 65477 19097200 18745610 0 0 0 0 15685626 14883945 0 0 0 7616675 7353854 23302301 22237799 -4205101 -3492189 8633934 7578949 36641706 38860432 -28007772 -31281483 MARION REGIONAL MEDICAL CENTER, INC. OWNS AND OPERATES A 49 BED ACUTE CARE HOSPITAL AND A 79 BED NURSING HOME LOCATED IN HAMILTON, ALABAMA CALLED NORTH MISSISSIPPI MEDICAL CENTER-HAMILTON (NMMC-HAMILTON). NMMC-HAMILTON IS PART OF THE NORTH MISSISSIPPI HEALTH SERVICES (NMHS) ORGANIZATION. THE MISSION OF NMHS IS TO CONTINUOUSLY IMPROVE THE HEALTH OF THE PEOPLE OF OUR REGION. NMMC-HAMILTON WORKS TO ACHIEVE THIS CORPORATE MISSION TO IMPROVE THE HEALTH OF THE PEOPLE OF THIS REGION BY PROVIDING CONVENIENTLY ACCESSIBLE, COST-EFFECTIVE HEALTH CARE OF THE HIGHEST QUALITY. false false 21273427 0 18597040 NMMC-HAMILTON SERVES MARION COUNTY ALABAMA AND THE SURROUNDING AREA. IN FISCAL YEAR 2024, THERE WERE 493 INPATIENT ADMISSIONS, 6,832 EMERGENCY DEPARTMENT VISITS, 36,363 OUTPATIENT VISITS, 21,411 RURAL HEALTH CLINIC VISITS AND 639 HOSPITAL BASED CLINIC VISITS. NMMC-HAMILTON USES PRESS GANEY, THE LARGEST PATIENT SATISFACTION SURVEY COMPANY IN THE NATION, THAT WORKS WITH MORE THAN 7,000 HEALTHCARE FACILITIES. RANDOMLY SELECTED PATIENTS ARE ASKED ABOUT THEIR EXPERIENCE WITH INPATIENT, OUTPATIENT, ER, AND LONG-TERM CARE SERVICES. THE FOUR-BED INTENSIVE CARE UNIT OFFERS INVASIVE AND NON-INVASIVE MONITORING FOR MEDICAL AND SURGICAL PATIENTS. THE HOSPITAL ALSO HAS 10 CERTIFIED SWING BEDS FOR PATIENTS WHO NEED EXTENDED CARE. NMMC-HAMILTON OFFERS 24-HOUR EMERGENCY SERVICES. THE EMERGENCY ROOM IS STAFFED BY WELL-EQUIPPED, HIGHLY QUALIFIED NURSES AND PHYSICIANS. EMERGENCY AIR AMBULANCE SERVICES ARE READILY AVAILABLE FOR CRITICAL CARE TRANSPORT WHEN NEEDED. OUTPATIENT SERVICES INCLUDE SAME-DAY SURGERY, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, LABORATORY AND CARDIAC MONITORING. CARDIAC STRESS TESTS AND HOLTER MONITORING ARE ALSO OFFERED. NMMC-HAMILTON IS THE RECIPIENT OF THE VHA LEADERSHIP AWARD, HONORING THE HOSPITAL FOR MEETING OR EXCEEDING NATIONAL PERFORMANCE STANDARDS FOR CLINICAL CARE AND QUALITY. VHA SERVES MORE THAN 1,400 NOT-FOR-PROFIT HOSPITALS AND MORE THAN 24,000 NON-ACUTE HEALTH CARE ORGANIZATIONS NATIONWIDE. NMMC-HAMILTON WAS ONE OF ONLY 38 VHA MEMBER ORGANIZATIONS TO RECEIVE A 2009 LEADERSHIP AWARD FOR CLINICAL EXCELLENCE. 0 0 0 ONE OF THE PRIMARY WAYS NMMC-HAMILTON SERVES THE COMMUNITY IS BY PROVIDING CARE TO VARIOUS POPULATIONS FOR WHICH IT RECEIVES NO COMPENSATION OR RECEIVES COMPENSATION AT RATES SIGNIFICANTLY LESS THAN ESTABLISHED RATES. THE BOARD OF DIRECTORS OF NMMC-HAMILTON HAS ESTABLISHED A POLICY UNDER WHICH THE HOSPITAL PROVIDES CARE, WITHOUT CHARGE, TO NEEDY MEMBERS OF ITS COMMUNITY. THE FINANCIAL ASSISTANCE POLICY STATES THAT NMMC-HAMILTON WILL PROVIDE EMERGENCY AND MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO PATIENTS FREE OF CHARGE WITH HOUSEHOLD INCOME LEVELS AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL. THE POLICY APPLIES TO INDIVIDUALS WHO RESIDE IN MARION COUNTY. PATIENTS FROM OUTSIDE THE COUNTY MAY ALSO BE GRANTED CHARITY CARE BASED ON THE JUDGMENT OF NMMC-HAMILTON MANAGEMENT DEPENDING ON THEIR INDIVIDUAL CIRCUMSTANCES. THE POLICY ALSO REQUIRES THE PATIENT TO COOPERATE FULLY WITH NMMC-HAMILTON'S REQUEST FOR INFORMATION WITH WHICH TO VERIFY THE PATIENT'S ELIGIBILITY. FOLLOWING THAT POLICY, THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. CHARGES FORGONE, BASED ON ESTABLISHED RATES, TOTALED APPROXIMATELY $755,803 IN FISCAL YEAR 2024. BASED ON THE GROSS CHARGES PROVIDED TO CHARITY PATIENTS COMPARED TO TOTAL HOSPITAL GROSS CHARGES, 4.02% OF ALL SERVICES IN FISCAL YEAR 2024 WERE PROVIDED ON A CHARITY BASIS. THE NET COST OF CHARITY CARE PROVIDED BY NMMC-HAMILTON WAS APPROXIMATELY $872,272 IN FISCAL YEAR 2024. THE TOTAL COST ESTIMATE IS BASED ON THE RATIO OF COSTS TO CHARGES FOR NMMC-HAMILTON. ALL OF THE FORGONE CHARGES MENTIONED ABOVE ARE NETTED AGAINST PATIENT SERVICE REVENUE TO ARRIVE AT NET PATIENT SERVICE REVENUE AS REFLECTED AS PROGRAM SERVICE REVENUE ON PART VIII ON FORM 990 IN ORDER TO BE CONSISTENT WITH FINANCIAL STATEMENT REPORTING AND ARE NOT REPORTED AS FUNCTIONAL EXPENSES ON THE TAX RETURN. 21273427 true false false false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 32 0 true 291 true true true false false false false false false false false false false false X 5 5 false false false false true true true true true false false false true true true true true true true true true X KRISTY DUKE 6623773977 830 SOUTH GLOSTER STREET TUPELO MS 38801 SONNY NIX CHAIRMAN 1.0 0.0 X X 0 0 0 BELINDA MCRAE DIRECTOR 1.0 0.0 X 0 0 0 BOBBY WALLACE DIRECTOR 1.0 0.0 X 0 0 0 WADE NIXON DIRECTOR 1.0 0.0 X 0 0 0 WYMON JERONE FREDERICK DIRECTOR 1.0 0.0 X 0 0 0 BRUCE TOPPIN SECRETARY 1.0 39.0 X 0 667572 14992 MICHAEL S SPEES PRESIDENT 0.5 39.5 X 0 2319522 27228 SHARON NOBLES TREASURER 1.0 39.0 X 0 1007522 29248 ROBERT TRIMM ADMINISTRATOR 40.0 0.0 X 167178 0 9136 ROBIN MIXON ADMINISTRATOR 20.0 20.0 X 0 247843 29126 CESAR ROMERO PHYSICIAN 40.0 0.0 X 481548 0 29856 DIEGO F HIDALGO ESPINEL PHYSICIAN 40.0 0.0 X 367751 0 9582 ERIC TILLOTSON PHYSICIAN 40.0 0.0 X 188774 0 8422 KERI MERSCHMAN PHYSICIAN 40.0 0.0 X 440081 0 24180 MARY SANTIAGO PHYSICIAN 40.0 0.0 X 210123 0 17563 1855455 4242459 199333 13 false true false RELIAS EMERGENCY MED PO BOX 7058 TUPELO MS 38802 ER PHYSICIAN SERVICES 886603 RELIAS HOSPITALIST PO BOX 7058 TUPELO MS 38802 CONTRACT THERAPY SERVICES 669370 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 303844674 TRAVEL NURSING SERVICES 134684 3 0 0 0 0 40000 0 0 40000 PATIENT SERVICES 622110 18462617 18462617 0 0 WELLNESS CENTER REVENUE 621111 77574 77574 0 0 RELATED RENTAL INCOME 531120 37879 37879 0 0 CAFETERIA REVENUE 722310 18970 18970 0 0 0 0 0 0 18597040 8438 0 0 8438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34655 0 0 0 34655 0 34655 0 0 34655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EQUITY IN MARION REGIONAL LHC 900099 33882 0 33882 0 VHA REBATES 621610 21628 0 0 21628 EMPLOYEE DRUGS 446110 9967 0 0 9967 0 0 0 0 65477 18745610 18597040 33882 74688 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12475063 11820881 654182 0 669444 669444 0 0 883179 883179 0 0 856259 803300 52959 0 123605 0 123605 0 4979 0 4979 0 33075 0 33075 0 0 0 0 0 0 0 0 0 0 0 2057368 2057368 0 0 2535 2535 0 0 412169 412169 0 0 413478 413478 0 0 0 0 0 0 828554 828554 0 0 14936 14936 0 0 0 0 0 0 35388 35388 0 0 0 0 0 0 0 0 0 0 563237 563237 0 0 95572 0 95572 0 MEDICAL SUPPLIES 1773880 1773880 0 0 TAXES & LICENSES 572134 572134 0 0 REPAIRS & MAINTENANCE 214285 214285 0 0 COLLECTIONS & FEES 79951 79951 0 0 128708 128708 0 0 22237799 21273427 964372 0 593155 146877 1133336 57828 0 0 1468544 978590 0 0 0 0 0 0 306923 343538 90776 16892 23645605 20329894 2621565 3315711 0 0 0 0 0 0 2419635 2719513 8633934 7578949 5528605 4601032 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31113101 34259400 36641706 38860432 X -28105355 -31382559 97583 101076 0 0 0 0 0 0 -28007772 -31281483 8633934 7578949 X -3492189 0 0 0 0 218478 X false true X true false X 0 216557 216557 0 6907864 6450177 457687 0 0 0 0 0 14828238 13574489 1253749 0 1692946 305228 1387718 3315711 DEFERRED COMP TRUST FUND 2386196 INVESTMENT IN MARION LHC -4856 INTREST IN NET ASSETS OF AFFILIATED FOUNDATION 101076 DUE FROM THIRD PARTY PAYORS 236600 RIGHT OF USE LEASES 497 2719513 DUE TO AFFILIATES 31880073 ASSET RETIREMENT OBLIGATION 212914 DUE TO THIRD PARTY 2165916 CAPITAL LEASE LIABILITY 497 INVESTMENT IN MARION LHC 34259400 18682622 0 0 0 0 0 18682622 0 62988 62988 18745610 22208693 0 0 0 0 0 22208693 0 29106 29106 22237799 Schedule D, Part X, Line 2 MANAGEMENT HAS EVALUATED ITS INCOME TAX POSITIONS UNDER GUIDANCE INCLUDED IN ASC 740. BASED ON ITS REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements BOOK TAX DIFFERENCE IN MARION REGIONAL LHC - 33882 PENSION COST - 29106 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PENSION COST - 29106 true true X true X true X true true true false true true 0 0 872272 0 872272 0.0392 0 0 4590750 4865828 0 0.0 0 0 0 0 0 0.0 0 0 5463022 4865828 872272 0.0392 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 5463022 4865828 872272 0.0392 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 0 0 2742094 3889492 -1147398 X true true 1 1 MARION REGIONAL MEDICAL CENTER 1256 MILITARY STREET HAMILTON AL 35570 HTTP://WWW.NMHS.NET/HAMILTON/ 13205 X X X MARION REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X 21 true true false true X www.nmhs.net/About-Us/Community-Health-Needs-Asssessments X true 21 true www.nmhs.net/About-Us/Community-Health-Needs-Asssessments false true X 150.0 200.0 X X X X X X true true X X X true X www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance X www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance X www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MARION REGIONAL MEDICAL CENTER. INPUT FROM THE COMMUNITY WAS RECEIVED VIA INFORMANT INTERVIEWS, STANDARDIZED ELECTRONIC SURVEYS FROM KEY ORGANIZATIONS/STAKEHOLDERS, HEALTHCARE ADVOCATES/LEADERS, AND INTERESTED COMMUNITY PARTNERS RESIDING IN THE SERVICE AREAS SERVED BY NORTH MISSISSIPPI MEDICAL CENTER-HAMILTON AND THE HEALTH SYSTEM. ADDITIONAL INPUT WAS SOLICITED FROM COMMUNITY RESIDENTS WHO REPRESENT BROADLY DIVERSE INTERESTS OF THE SERVICE AREA RANGING FROM NONPROFIT COMMUNITY VOLUNTEERS TO RETIRED EDUCATORS, BANKERS, AND PRIVATE BUSINESS LEADERS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - MARION REGIONAL MEDICAL CENTER. MARION REGIONAL MEDICAL CENTER IS PART OF THE NORTH MISSISSIPPI HEALTH SERVICES DIVERSIFIED REGIONAL HEALTHCARE SYSTEM. NORTH MISSISSIPPI HEALTH SERVICES OPERATES SIX COMMUNITY HOSPITALS IN ADDITION TO MARION REGIONAL MEDICAL CENTER. THE CHNA INCLUDED MARION REGIONAL MEDICAL CENTER, CLAY COUNTY MEDICAL CORPORATION, PONTOTOC HEALTH SERVICES, WEBSTER HEALTH SERVICES, TISHOMINGO HEALTH SERVICES, MONROE HEALTH SERVICES AND NORTH MISSISSIPPI MEDICAL CENTER. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - MARION REGIONAL MEDICAL CENTER. THE NEEDS OF THE COMMUNITY GO BEYOND THE RESOURCES OF THE ORGANIZATION WITH THE NON-EXPANSION OF MEDICAID IN THE STATE AND THE REDUCTION IN MEDICAID PAYMENTS AS WELL AS A SIGNIFICANT INCREASE IN UNINSURED. THE ORGANIZATION FOCUSES ON PROVIDING ACCESS TO BASIC HEALTHCARE NEEDS INCLUDING: A. INCREASE ACCESS TO PREVENTIVE SERVICE - EXPAND VIRTUAL/TELEHEALTH OFFERINGS - COLLABORATE TO EXPLORE TRANSPORTATION NEEDS - INITIATE INNOVATIVE LISTEN-TO-LEARN COMMUNITY SESSIONS - UTILIZE PARTNERS TO ASSIST THOSE WITH LIMITED OR NO INSURANCE - INCREASE AFFORDABLE AFTER-HOURS CARE - IMPROVE ACCESS TO SPECIALTY CARE B. INCREASE PHYSICAL ACTIVITY AND PROMOTE EXERCISE AS MEDICINE - PARTNER WITH LOCAL WELLNESS CENTERS & GYMS - DEVELOP PARTNERSHIPS WITH LOCAL PARKS/RECREATION FACILITIES - UTILIZE EXERCISE "PRESCRIPTIONS" - ORGANIZE WALKING CLUBS - PROMOTE CORPORATE WELLNESS PROGRAMS - IDENTIFY COMMUNITY RESOURCES, E.G. TRAILS, WALKINGS TRACKS, ETC. C. DEVELOP A NUTRITIONALLY AWARE COMMUNITY CULTURE - SCREEN FOR AND CREATE ACCESS TO NUTRITIOUS FOODS - DEVELOP CULTURALLY APPROPRIATE EDUCATIONAL PROGRAMS - DEVELOP COMMUNITY COALITIONS TO PROVIDE FRESH FOOD/PROMOTE COMMUNITY GARDENS - TEACH FOOD PRESERVATION SKILLS - UTILIZE ESTABLISHED NETWORKS TO PROMOTE NUTRITION D. DEVELOP PARTNERSHIPS WITH PUBLIC ENTITIES - PUBLIC HEALTH -- STATE AND REGIONAL OFFICES - EDUCATIONAL INSTITUTIONS -- EARLY CHILDHOOD, PRIMARY, SECONDARY, AND POST-SECONDARY - GOVERNMENT -- STATE, REGIONAL, AND LOCAL Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - MARION REGIONAL MEDICAL CENTER. THE FAP DOES NOT COVER CHARGES FOR PATIENTS OR TREATMENTS WITH THE FOLLOWING CONDTIONS: I. THE PATIENT HAS ANY THIRD-PARTY INSURANCE COVERAGE. A DISCRETIONARY EXCEPTION MAY BE MADE FOR INSURED PATIENTS IS THE PROVISOIN FOR THE MEDICALLY UNDER-INSURED. II. THE PATIENT'S PRIMARY RESIDENCE IS OUTSIDE THE SERVICE AREA III. THE PATIENT IS CURRENTLY IN CUSTODY OF A CORRECTIONAL FACILITY IV. THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ANOTHER CITY, COUNTY, STATE, FEDERAL OR OTHER ASSISTANCE PROGRAM WHICH SUPERSEDES THE FAP. V. IF PATIENT'S CHARGES RESULTED FROM A WORK-RELATED ACCIDENT, PATIENTS ARE NOT ELIGIBLE TO APPLY UNLESS THEY CAN PROVIDE PROOF OF NO THIRD-PARTY COVERAGE. VI. IF PATIENT CHARGES RESULTED FROM AN AUTO ACCIDENT, PATIENTS ARE NOT ELIGIBLE TO APPLY UNLESS THEY CAN PROVIDE PROOF OF NO THIRD-PARTY COVERAGE. THE FINANCIAL ASSISTANCE POLICY IS NOT APPLICABLE TO PHYSICIANS OR THEIR IMMEDIATE FAMILY MEMBERS. 3 MARION REGIONAL MEDICAL CENTER NURSING HOME 184 SASSER DRIVE HAMILTON AL 35570 LONG TERM ACUTE CARE FACILITY HAMILTON PRIMARY CARE CLINIC 1256 MILITARY STREET SOUTH HAMILTON AL 35570 RURAL HEALTH CLINIC HAMILTON WELLNESS CENTER 1333 MILITARY STREET SOUTH HAMILTON AL 35570 WELLNESS CENTER Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT MARION REGIONAL MEDICAL CENTER DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF MISSISSIPPI AS THERE IS NO REQUIREMENT TO DO SO. Schedule H, Part I, Line 3c MARION REGIONAL MEDICAL CENTER, INC. USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE. IF THE PATIENT'S INCOME LEVEL IS 0-150% OF THE FEDERAL POVERTY LEVEL (FPL), AN ADJUSTMENT OF 100% OF THE HOSPITAL'S STATED CHARGES WILL BE MADE. FOR PATIENTS WHOSE FAMILY GROSS INCOME IS EQUAL TO OR GREATER THAN 200% OF THE FPL, THE HOSPITAL MAY OFFER DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. Schedule H, Part I, Line 6a Community benefit report prepared by related organization MARION REGIONAL MEDICAL CENTER'S COMMUNITY BENEFIT INFORMATION IS INCLUDED IN THE COMMUNITY BENEFIT REPORT OF ITS PARENT COMPANY, NORTH MISSISSIPPI HEALTH SERVICES, INC. NORTH MISSISSIPPI HEALTH SERVICES (NMHS) IS A DIVERSIFIED REGIONAL HEALTH CARE ORGANIZATION, WHICH SERVES 24 COUNTIES IN NORTH MISSISSIPPI AND NORTHWEST ALABAMA FROM HEADQUARTERS IN TUPELO, MS. THE NMHS ORGANIZATION COVERS A BROAD RANGE OF ACUTE DIAGNOSTIC AND THERAPEUTIC SERVICES, OFFERED THROUGH NORTH MISSISSIPPI MEDICAL CENTER IN TUPELO; A COMMUNITY HOSPITAL SYSTEM WITH LOCATIONS IN EUPORA, IUKA, PONTOTOC, WEST POINT, AMORY, MS, AND HAMILTON AL; NORTH MISSISSIPPI MEDICAL CLINICS, A REGIONAL NETWORK OF 27 PRIMARY AND SPECIALTY CLINICS; AND NURSING HOMES. NMHS OFFERS A COMPREHENSIVE PORTFOLIO OF MANAGED CARE PLANS. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A COST TO CHARGE RATIO WAS USED FOR THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7. THE COST TO CHARGE RATIO FOR LINE 7 WAS CALCULATED USING WORKSHEET 2. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount MARION REGIONAL MEDICAL CENTER'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE SPECIFICALLY CONCERNING BAD DEBT. BAD DEBT IS SHOWN AS A SEPARATE LINE ITEM ON THE FACE OF THE INCOME STATEMENT. THE AMOUNT OF BAD DEBT BOOKED EACH YEAR IS BASED ON A REVIEW OF OUTSTANDING RECEIVABLES AND THEIR AGE FROM DATE OF SERVICE. THE OLDER THE ACCOUNT, THE HIGHER THE RESERVE PERCENTAGE USED TO ESTIMATE BAD DEBT. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATIONS AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. Schedule H, Part III, Line 3 Bad Debt Expense Methodology MARION REGIONAL MEDICAL CENTER (MRMC) FOLLOWS THE CATHOLIC HEALTH ASSOCIATION GUIDELINES AND DOES NOT INCLUDE BAD DEBT IN ANY COMMUNITY BENEFIT AMOUNTS. MRMC BELIEVES THAT SOME PORTION OF BAD DEBT RESULTS FROM PATIENTS WHO COULD QUALIFY FOR CHARITY CARE BUT HAS NO WAY OF MAKING AN ESTIMATE OF THE AMOUNT AND THEREFORE HAS ANSWERED "ZERO" FOR PART III LINE 3. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2024. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs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chedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance MARION REGIONAL MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. FOR PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, THE HOSPITALS MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. Schedule H, Part V, Section B, Line 16a FAP website - MARION REGIONAL MEDICAL CENTER: Line 16a URL: www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - MARION REGIONAL MEDICAL CENTER: Line 16b URL: www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MARION REGIONAL MEDICAL CENTER: Line 16c URL: www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment NEEDS ASSESSMENT MARION REGIONAL MEDICAL CENTER UTILIZES VARIED BUT COMPLIMENTARY METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. MARION REGIONAL MEDICAL CENTER AND MARION COUNTY ARE INCLUDED IN THE NORTH MISSISSIPPI HEALTH SERVICES COMMUNITY HEALTH ASSESSMENT WHICH IS PERFORMED EVERY THREE YEARS AND PROVIDES INFORMATION ON HEALTH STATUS, UTILIZATION OF HEALTH SERVICES, HEALTHY BELIEFS AND SATISFACTION WITH HEALTH CARE SERVICES. THE NORTH MISSISSIPPI HEALTH SERVICES COMMUNITY HEALTH ASSESSMENT COVERS THE 24 COUNTY SERVICE AREA INCLUDING MARION COUNTY AND PROVIDES INFORMATION BY COUNTY. IN ADDITION, THE NORTH MISSISSIPPI HEALTH SERVICES COMMUNITY RELATIONS FACILITATOR CONDUCTS ROUTINE VISITS WITH OUR INTERNAL AND EXTERNAL STAKEHOLDERS ACROSS THE ENTIRE SERVICE AREA INCLUDING MARION COUNTY. THE INFORMATION GATHERED THROUGH SEVERAL QUALITATIVE SURVEY QUESTIONS IS USED TO DETERMINE OUR COMMUNITY'S NEEDS FOR THE ENTIRE SERVICE AREA AS WELL AS THE LOCAL SERVICE AREA FOR EACH HOSPITAL SUCH AS MARION REGIONAL MEDICAL CENTER. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE EXPLANATIONS OF THE MARION REGIONAL MEDICAL CENTER CHARITY CARE POLICY ARE COMMUNICATED IN A VARIETY OF FORMS INCLUDING SIGNAGE AT ALL ADMISSION AND REGISTRATION AREAS, ON THE WEB SITE, ON BILLS AND STATEMENTS, AND IN ADMISSION PACKETS. FINANCIAL COUNSELORS ASSIST THE PATIENT AND RESPONSIBLE PARTIES WITH DETERMINING ELIGIBILITY FOR GOVERNMENT PROGRAMS, PRIMARILY MEDICAID, AND CHARITY CARE STATUS. THE PATIENT CAN APPLY FOR CHARITY CARE AT ANY TIME FROM THE DATE OF SERVICE THROUGH THE COLLECTION PROCESS AND ONCE QUALIFIED AND APPROVED ALL COLLECTION EFFORTS ARE STOPPED. Schedule H, Part VI, Line 4 Community information COMMUNITY INFORMATION MARION REGIONAL MEDICAL CENTER SERVES MORE THAN 29,000 PEOPLE IN MARION COUNTY, ALABAMA AND THE SURROUNDING AREA. THE POPULATION FOR THE SERVICE AREA IS PROJECTED TO REMAIN ESSENTIALLY FLAT OVER THE NEXT FIVE YEARS. ACCORDING TO THE U.S. CENSUS BUREAU, AGE DEMOGRAPHICS FOR THE SERVICE AREA SHOW THAT APPROXIMATELY 22% OF THE POPULATION IS UNDER 18 YEARS OF AGE, APPROXIMATELY 60% IS BETWEEN 18 AND 64 YEARS OF AGE AND THAT 18% IS 65 OR OLDER. CAUCASIANS MAKE UP 92% OF THE SERVICE AREA'S POPULATION WHILE AFRICAN AMERICANS MAKE UP 4% AND HISPANICS AND OTHERS MAKE UP APPROXIMATELY 4%. THE MEDIAN HOUSEHOLD INCOME WAS $44,333 FOR THE SERVICE AREA, WHICH IS BELOW THE OVERALL AVERAGE FOR ALABAMA AND SIGNIFICANTLY LESS THAN THE NATIONWIDE AVERAGE. THE PATIENT POPULATION FOR MARION REGIONAL MEDICAL CENTER THAT IS UNINSURED IS 13.1%. Schedule H, Part VI, Line 5 Promotion of community health PROMOTION OF COMMUNITY HEALTH MARION REGIONAL MEDICAL CENTER HAS A COMMITMENT TO A WIDE VARIETY OF COMMUNITY HEALTH OUTREACH ACTIVITIES, WHICH ARE COORDINATED BY THE COMMUNITY HEALTH COORDINATOR AND ARE STAFFED BY MARION REGIONAL MEDICAL CENTER EMPLOYEES WHO VOLUNTEER THEIR TIME TO HELP WITH THESE EVENTS AND ACTIVITIES. THE COMMUNITY HEALTH COORDINATOR ASSISTS IN EDUCATING THE COMMUNITY ON HEALTH-RELATED ISSUES BY ORGANIZING AND PRESENTING VARIOUS HEALTH FAIRS AND SEMINARS. THESE EVENTS ARE HELD AT LOCAL BUSINESSES, SCHOOLS AND COMMUNITY ORGANIZATIONS AND ADDRESS A VARIETY OF HEALTH-RELATED TOPICS. IN ADDITION, THE HOSPITAL SPONSORS CHOLESTEROL, BLOOD PRESSURE, VISION, MEMORY, AND HEART-RISK SCREENING EVENTS, THROUGH WHICH TESTS ARE MADE AVAILABLE TO THE PUBLIC FOR A NOMINAL FEE OR AT NO CHARGE WITH THE MAJORITY OF THE COSTS INCURRED ABSORBED BY THE HOSPITAL. Schedule H, Part VI, Line 6 Affiliated health care system AFFILIATED HEALTH CARE SYSTEM AS NOTED ABOVE, MARION REGIONAL MEDICAL CENTER (MRMC) IS PART OF NORTH MISSISSIPPI HEALTH SERVICES (NMHS). NMHS OPERATES NORTH MISSISSIPPI MEDICAL CENTER AND FIVE OTHER COMMUNITY HOSPITALS IN ADDITION TO MRMC, AS WELL AS, NORTH MISSISSIPPI MEDICAL CLINICS, WHICH OPERATES MORE THAN 36 MEDICAL CLINICS. SOME OF THESE FACILITIES OPERATE AT AN ONGOING FINANCIAL LOSS AND NMHS PROVIDES OPERATING FUNDS IN THE FORM OF WORKING CAPITAL LOANS THAT HAVE NO SET REPAYMENT DATE. THESE WORKING CAPITAL LOANS HAVE HISTORICALLY BEEN CONVERTED TO CAPITAL TRANSFERS IN MANY CASES, AND THEREFORE, THE LOANS ARE FORGIVEN SUCH THAT THE FACILITY NEVER MAKES REPAYMENT. NMHS DOES THIS IN ORDER TO PROVIDE ACCESS TO A VARIETY OF SERVICES ACROSS THE SERVICE AREA AND IS AN INTENTIONAL PART OF ITS BUSINESS MODEL. THE COMMUNITY HEALTH DEPARTMENT THAT IS PART OF NMMC COORDINATES A VARIETY OF COMMUNITY HEALTH ACTIVITIES ACROSS THE SERVICE AREA AS WELL. false true false false false false false true false MICHAEL S SPEES PRESIDENT 0 1110231 0 1032676 0 176615 0 19800 0 7428 0 2346750 0 0 SHARON NOBLES TREASURER 0 568363 0 359729 0 79430 0 19800 0 9448 0 1036770 0 0 BRUCE TOPPIN SECRETARY 0 399862 0 208113 0 59597 0 6600 0 8392 0 682564 0 0 ROBERT TRIMM ADMINISTRATOR 90600 0 6 0 76572 0 5062 0 4074 0 176314 0 0 0 ROBIN MIXON ADMINISTRATOR 0 167722 0 72682 0 7439 0 21974 0 7152 0 276969 0 0 CESAR ROMERO PHYSICIAN 267675 0 212841 0 1032 0 24750 0 5106 0 511404 0 0 0 KERI MERSCHMAN PHYSICIAN 288401 0 151464 0 216 0 19800 0 4380 0 464261 0 0 0 DIEGO F HIDALGO ESPINEL PHYSICIAN 256771 0 110788 0 192 0 7572 0 2010 0 377333 0 0 0 MARY SANTIAGO PHYSICIAN 160719 0 32242 0 17162 0 15793 0 1770 0 227686 0 0 0 ERIC TILLOTSON PHYSICIAN 150418 0 38245 0 111 0 5972 0 2450 0 197196 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation NORTH MISSISSIPPI HEALTH SERVICES (NMHS) ESTABLISHES THE PAY OF THE CEO AND COMPENSATES HIM. NMHS USES THE FOLLOWING METHODS FOR ESTABLISHING THE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING PEOPLE PARTICIPATED IN OR RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SHARON NOBLES - $54,519 MICHAEL SHANE SPEES - $111,507 BRUCE TOPPIN - $40,061 Schedule J, Part I, Line 7 Non-fixed payments PHYSICIAN BONUSES ARE ALL CONTINGENT INCOME DEPENDING UPON EITHER THE NUMBER OF SERVICES PROVIDED OR THE QUALITY OF PERFORMANCE PERFORMED. ALL ARE SPECIFIED IN THEIR CONTRACTS. ANY OTHER INCENTIVES ARE PAID OUT AS CONTINGENT INCOME ALSO BASED ON QUALITY AND FINANCIAL PERFORMANCE METRICS. Form 990, Part VI, Line 15 A&B AN INDEPENDENT COMPENSATION CONSULTING FIRM, KORN FERRY, IS USED TO HELP ESTABLISH THE COMPENSATION OF THE SENIOR EXECUTIVES. THE FIRM PRESENTS THEIR INDEPENDENT ANALYSIS, WHICH CONTAINS COMPARABILITY DATA, TO THE COMPENSATION COMMITTEE OF NORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS). THE COMPENSATION OF THE INDIVIDUALS ARE THEN APPROVED BY THE COMPENSATION COMMITTEE. THE SALARIES OF NMHS' SENIOR EXECUTIVES ARE THEN REVIEWED BY THE NMHS BOARD OF DIRECTORS. THE INDIVIDUAL WHOSE COMPENSATION IS BEING DISCUSSED IS NOT PRESENT DURING THE DISCUSSION OR APPROVAL OF THEIR COMPENSATION. THE DISCUSSIONS AND DECISIONS REGARDING THE COMPENSATION ARE DOCUMENTED IN THE MINUTES OF THE MEETINGS. COMPENSATION OF THESE INDIVIDUALS IS APPROVED ANNUALLY. Form 990, Part VI, Line 6 Classes of members or stockholders MARION REGIONAL MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT, NONSTOCK, MEMBERSHIP CORPORATION OF WHICH NORTH MISSISSIPPI HEALTH SERVICES, INC. IS THE SOLE MEMBER AND HAS SOLE VOTING CONTROL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE GOVERNANCE COMMITTEE OF NORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS), WHICH IS MADE UP OF PAST CHAIRMEN, NOMINATE CANDIDATES FOR THE BOARD. THESE CANDIDATES ARE THEN APPROVED BY THE BOARD OF NMHS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE BOARD OF NORTH MISSISSIPPI HEALTH SERVICES, INC. APPROVES ALL TRANSACTIONS THAT EXCEED $1 MILLION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 GOES THROUGH A REVIEW PROCESS IN THE ACCOUNTING DEPARTMENT. THE ACCOUNTANT FOR EACH FACILITY REVIEWS THE RETURN FOR REASONABLENESS AND ACCURACY. ALL TOTALS ARE TIED TO THE AUDIT REPORTS, AND ALL AMOUNTS ARE CROSS-REFERENCED TO SCHEDULES OR OTHER PARTS OF THE ACTUAL RETURN. ONCE THE ACCOUNTANT REVIEWS, THE ACCOUNTING SUPERVISOR AND THE DIRECTOR OF ACCOUNTING REVIEWS. THE SUPERVISOR DOES A DETAILED REVIEW BY CHECKING THE RETURN FOR THE SAME ITEMS THAT THE ACCOUNTANT CHECKED FOR. THEN THE DIRECTOR DOES A MORE HIGH LEVEL REVIEW, READING THE RETURN FOR REASONABLENESS AND COMPARING PRIOR YEAR AMOUNTS TO CURRENT YEAR AMOUNTS. FINALLY, THE VP OF FINANCE REVIEWS THE RETURN FOR REASONABLENESS. THE RETURNS ARE THEN SENT TO THE EXECUTIVE VP/TREASURER TO BE REVIEWED. THE CHIEF FINANCIAL OFFICER SIGNS THE RETURN AND IT IS THEN SENT TO THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE IS REQUIRED TO BE COMPLETED BY ALL OFFICERS AND DIRECTORS OF THE ORGANIZATION. THE QUESTIONNAIRE IS REVIEWED BY NORTH MISSISSIPPI HEALTH SERVICES, INC.'S COMPLIANCE OFFICER AND CONFLICT COMMITTEE. THE CONFLICT COMMITTEE REVIEWS CONFLICT TRANSACTIONS AND MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING CONFLICT TRANSACTIONS IN ACCORDANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ALL MEMBERS OF THE CONFLICT COMMITTEE ARE PROHIBITED FROM ENGAGING IN TRANSACTIONS WITH THE ORGANIZATION OR ITS AFFILIATES DURING THEIR TENURE ON THE CONFLICT COMMITTEE AND ONE YEAR AFTER THEIR SERVICE CONCLUDES. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. A CONSOLIDATED STATEMENT OF OPERATIONS IS AVAILABLE ON THE ORGANIZATION'S WEBSITE. Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION-RELATED CHANGES - 248867; INCREASE IN INTEREST IN NET ASSETS OF AFFILIATED FOUNDATION - 3493; BOOK TAX DIFFERENCE IN MARION REGIONAL LHC - -33882; NORTH MS MANAGEMENT SERVICES INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640762694 MGMT & ADMIN DE 501(c)(3) Type I NMHS true NORTH MS HEALTH SERVICES INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640653269 MGMT SERVICES DE 501(c)(3) Type II NA false CLAY COUNTY MEDICAL CORPORATION 830 SOUTH GLOSTER STREET TUPELO MS 38801 640668465 HOSPITAL DE 501(c)(3) 3 NMHS true TISHOMINGO HEALTH SERVICES 830 SOUTH GLOSTER STREET TUPELO MS 38801 640741047 HOSPITAL DE 501(c)(3) 3 NMHS true PONTOTOC HEALTH SERVICES INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640751410 HOSPITAL DE 501(c)(3) 3 NMHS true NORTH MS MEDICAL CLINICS INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640787918 MED CLINICS DE 501(c)(3) 3 NMHS true TUPELO SERVICE FINANCE INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640508308 COLLECTIONS DE 501(c)(3) 3 NMHS true WEBSTER HEALTH SERVICES INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640819193 HOSPITAL DE 501(c)(3) 3 NMHS true NORTH MS MEDICAL CENTER INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640662976 HOSPITAL DE 501(c)(3) 3 NMHS true NORTH MS EMERGENCY SERVICES INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640780130 ER PHYSICIANS DE 501(c)(3) 10 NMHS true MONROE HEALTH SERVICES 830 SOUTH GLOSTER STREET TUPELO MS 38801 320583236 HOSPITAL DE 501(c)(3) 3 NMHS true HEALTH CARE FOUNDATION OF NORTH MS 830 SOUTH GLOSTER STREET TUPELO MS 38801 640914704 FUNDRAISING DE 501(c)(3) 7 NMHS true MEDICAL IMAGING LLC 830 SOUTH GLOSTER STREET TUPELO MS 38801 770647210 MEDICAL IMAGING MS NA false false CENTER FOR DIGESTIVE HEALTH LLC 589 GARFIELD ST TUPELO MS 38801 201606438 DIGESTIVE CARE MS NA false false NORTH MS HEALTH LINK INC 830 S GLOSTER STREET TUPELO MS 38801 640715886 MEDICAL SERVICES DE NMHS C Corporation true NORTH MS ENTERPRISES INC 830 S GLOSTER STREET TUPELO MS 38801 640658059 MEDICAL SERVICES DE NMHS C Corporation true PROFESSIONAL PRACTICE MANAGEMENT INC 830 S GLOSTER STREET TUPELO MS 38801 721390014 MED SERV MGMT DE NMMCL C Corporation true ACCLAIM INC 830 S GLOSTER STREET TUPELO MS 38801 721356116 HEALTH CARE CLAIMS DE HEALTHLINK C Corporation true NORTH MS SUPPORT SERVICES INC 830 S GLOSTER STREET TUPELO MS 38801 260718275 SUPPORT SERVICES DE NMHS C Corporation true false false false false false false false false false false false false true false true true true true true